| RICHTROVÁ, Michaela, Olga KOŠKOVÁ, Martin JANKŮ, Tereza BÖNISCHOVÁ, Dominik FABIÁN and Petr ŠTOURAČ. Regional anesthesia in neonates with cleft lip and palate: Retrospective study. International journal of pediatric otorhinolaryngology. Clare: Elsevier, 2024, vol. 180, May 2024, p. 1-5. ISSN 0165-5876. Available from: https://dx.doi.org/10.1016/j.ijporl.2024.111965. |
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@article{2417681,
author = {Richtrová, Michaela and Košková, Olga and Janků, Martin and Bönischová, Tereza and Fabián, Dominik and Štourač, Petr},
article_location = {Clare},
article_number = {May 2024},
doi = {http://dx.doi.org/10.1016/j.ijporl.2024.111965},
keywords = {Cleft lip; Neonatal cleft lip surgery; Opioids in neonates; Infraorbital nerve block; Regional anesthesia},
language = {eng},
issn = {0165-5876},
journal = {International journal of pediatric otorhinolaryngology},
title = {Regional anesthesia in neonates with cleft lip and palate: Retrospective study},
url = {https://www.sciencedirect.com/science/article/pii/S0165587624001198?via%3Dihub},
volume = {180},
year = {2024}
}
TY - JOUR
ID - 2417681
AU - Richtrová, Michaela - Košková, Olga - Janků, Martin - Bönischová, Tereza - Fabián, Dominik - Štourač, Petr
PY - 2024
TI - Regional anesthesia in neonates with cleft lip and palate: Retrospective study
JF - International journal of pediatric otorhinolaryngology
VL - 180
IS - May 2024
SP - 1-5
EP - 1-5
PB - Elsevier
SN - 01655876
KW - Cleft lip
KW - Neonatal cleft lip surgery
KW - Opioids in neonates
KW - Infraorbital nerve block
KW - Regional anesthesia
UR - https://www.sciencedirect.com/science/article/pii/S0165587624001198?via%3Dihub
N2 - Background: Orofacial clefts are the most common congenital abnormalities. Cleft lip reconstruction is performed mostly in 3 months of life including the neonatal period. The consumption of opioids during anesthesia is one of the monitored parameters of anesthesia safety. We investigated the effect of using an infraorbital nerve block for reducing opioid consumption during cleft lip surgery in neonates. Patients/methods: Overall, 100 patients who underwent primary cleft lip surgery in neonatal age between 2018 and 2021 were included in the study. The primary outcome was to compare opioid requirements during cleft lip surgery with and without using regional anesthesia. Secondary outcomes included a first oral intake from surgery between neonates with and without regional anesthesia and complications rate of infraorbital nerve block. Results: Data from 100 patients (46 patients with and 64 without regional anesthesia) were retrospectively analyzed and classified into two groups according to whether regional anesthesia during neonatal cleft lip surgery had been performed or not. The use of infraorbital block was found to be positively correlated with lower doses of opioids used during the general anesthesia for the surgery (mean 0.48 mu g/kg vs 0.29 mu g/kg, p < 0.05). The postoperative course was evaluated based on the interval from surgery to first oral intake which was statistically insignificant shorter (p = 0.16) in the group of patients using regional anesthesia. No complications were recorded in the group of patients with regional anesthesia. Conclusions: Regional anesthesia is associated with reduced opioid consumption during anesthesia thereby increasing the safety of anesthesia in neonates.
ER -
RICHTROVÁ, Michaela, Olga KOŠKOVÁ, Martin JANKŮ, Tereza BÖNISCHOVÁ, Dominik FABIÁN and Petr ŠTOURAČ. Regional anesthesia in neonates with cleft lip and palate: Retrospective study. \textit{International journal of pediatric otorhinolaryngology}. Clare: Elsevier, 2024, vol.~180, May 2024, p.~1-5. ISSN~0165-5876. Available from: https://dx.doi.org/10.1016/j.ijporl.2024.111965.
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